Name:	Ohio State Association of Nurse Anesthetists
Real Party In Interest:
Type of industry:	medical
Address:	17 South High Street
Address 2:	Suite 200
City:	Columbus
State:	OH
Zip Code:	43215
Contact Person:	Peggy Blankenship
Phone:	614-221-1900
E-Mail:	Peggy@Assnoffices.com

III. Brief description of the type of legislation to which the Legislative Agent's engagement relates:
Legislation which would have an effect on the interest of the employer
IV. Categorical listing of principal business or activity of Employer:
-Medical/Hospital/Health Care
-Science and Tech
V. I am a state employee/officer registering on behalf of my public agency, other than an institution of higher education:
NOT CHECKED